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NPI 1598364036

NPI 1598364036 : STRONG TOWER HOME HEALTH SERVICES, LLC : DAMASCUS, MD

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General NPI Number Information
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    NPI Number           |    1598364036
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    Entity Type          |    Organization 
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    Legal Business Name  |    STRONG TOWER HOME HEALTH SERVICES, LLC 
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Dates
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    Enumeration Date     |    10/24/2020
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    Last Update Date     |    10/24/2020
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Provider Practice Location Address
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    Address Line         |    24218 ARENA STAGE CT 
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    City                 |    DAMASCUS
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    State                |    MD
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    Zip                  |    20872-2189
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    Country              |    US
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    Telephone            |    301-693-0069
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    24218 ARENA STAGE CT 
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    City                 |    DAMASCUS
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    State                |    MD
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    Zip                  |    20872-2189
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    Country              |    US
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    Telephone            |    301-693-0069
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    Fax                  |    
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |     TAMARI  SHUNDA 
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    Credential           |    
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    Telephone            |    301-693-0069
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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